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Platelet-Rich Plasma Versus Platelet-Poor Plasma for Treating Facial Photoaging: a Double-Blind Randomized Controlled
Ya-Wen Tsai1, Chun-Yu Cheng1,2,3, Sindy Hu1,2,4,5
1Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.
Aesthetic Plastic Surgery
|January 22, 2024
Summary
Platelet-rich plasma (PRP) and platelet-poor plasma (PPP) injections effectively treat facial aging signs like wrinkles. While both showed similar results, PRP slightly improved overall skin condition, and PPP better addressed shallow wrinkles.
Area of Science:
- Dermatology
- Aesthetic Medicine
- Regenerative Medicine
Background:
- Growing demand for non-invasive anti-aging treatments.
- Increasing interest in autologous platelet-rich plasma (PRP) and platelet-poor plasma (PPP) for facial rejuvenation.
- Limited comparative studies on PRP vs. PPP efficacy for facial aging.
Purpose of the Study:
- To compare the efficacy of PRP and PPP in facial rejuvenation.
- To evaluate the effectiveness of these plasma treatments on different facial aging indicators.
Main Methods:
- Single-center, double-blind, randomized controlled trial.
- Ten participants received 2.5-mL injections of PRP and PPP on contralateral sides of the face.
- Three treatment sessions at 1-month intervals, with outcomes assessed via photographic evaluation and VISIA® system scores.
Main Results:
- Both PRP and PPP significantly improved periocular wrinkles based on Global Aesthetic Improvement Scales and Modified Fitzpatrick Wrinkle Scale.
- No significant difference was observed between PRP and PPP for periocular wrinkles.
- No improvement in nasolabial folds was noted for either treatment; no severe adverse events were reported.
Conclusions:
- PRP and PPP are both effective for treating facial photoaging.
- PRP demonstrated slightly superior efficacy for overall skin condition improvement.
- PPP showed slightly better results for shallow wrinkle improvement, offering valuable evidence for their use in aesthetic procedures.

